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ILANGOVAN GOVINDARAJAN M.D., CMD
NPI 1295755759
Specialist in Kingman, AZ

Active since July 20, 2006
975 SYCAMORE AVE, KINGMAN, AZ 86409(928) 692-1900(928) 692-7334 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ilangovan Govindarajan M.d., Cmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILANGOVAN GOVINDARAJAN M.D., CMD (NPI 1295755759) is an individual specialist in Kingman, Arizona, licensed in Arizona (25797) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295755759
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameILANGOVAN GOVINDARAJANCredential: M.D., CMD
Location Address975 SYCAMORE AVEKingman, AZ 86409-3548
Mailing Address975 Sycamore AveKingman, AZ 86409-3548 · (928) 692-1900 · Fax (928) 692-7334
Phone(928) 692-1900
Fax(928) 692-7334
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 21, 2011
✔ NPI 1295755759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 25797
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
975 SYCAMORE AVE, Kingman, AZ 86409
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Other Identifiers 3

Medicare UPING61742AZ
Medicare ID-Type UnspecifiedZ85116AZ
Medicaid405036AZ

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYCAMORE AVENUE MEDICAL CENTER, PLLC
Nurse Practitioner (Family)
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900
MS. RUTH ELAINE FOWLER FNP/BC
Nurse Practitioner (Family)
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900
MOHAVE PRIMARY CARE
Specialist
975 SYCAMORE AVE
KINGMAN, AZ 86409
Mohave County (928) 692-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilangovan Govindarajan's NPI number?

The NPI number for Ilangovan Govindarajan is 1295755759. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Ilangovan Govindarajan located?

Ilangovan Govindarajan practices at 975 Sycamore Ave, Kingman, AZ 86409. The listed phone number is (928) 692-1900.

What is Ilangovan Govindarajan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ilangovan Govindarajan was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.